Kontron AT8402 User Manual Manuel d'utilisateur Page 89

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Manufacturer
Authorization Request
Contact Name:
__________________________________________________________
Company
Name:
__________________________________________________________
Street
Address:
__________________________________________________________
City: ________________________ Province/State: _______________________
Country: ________________________ Postal/Zip Code: _______________________
Phone
Number:
________________________ Extension: _______________________
Fax Number: ________________________ E-Mail: _______________________
Serial Number
Failure or Problem Description
P.O. #
(if not under warranty)
Fax this form to Kontron’s Technical Support department
in North America at (450) 437-0304
or in EMEA at +49 (0)8341 803 339
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